Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $932.31 / $5,386.24	Facility		$130.13	$932.31	$5,386.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,126.00 / $1,611.73 / $6,114.30	Facility	50	$1,126.00	$1,611.73	$6,114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $208.89 / $362.06	Professional		$123.66	$208.89	$362.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $184.44 / $207.50	Professional		$167.56	$184.44	$207.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $815.99 / $1,745.44 / $3,495.24	Facility		$815.99	$1,745.44	$3,495.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $219.33 / $255.76	Professional		$172.16	$219.33	$255.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $213.34 / $292.02	Professional		$152.41	$213.34	$292.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $245.92 / $660.69	Professional		$160.33	$245.92	$660.69
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $178.50 / $199.81	Professional		$154.38	$178.50	$199.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.55	Professional		$32.34	$32.34	$230.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $204.42 / $317.45	Professional		$133.61	$204.42	$317.45